| Mr John Chapman Whitlock Ii, CRNA | |
|
2610 E 7800 S, South Weber, UT 84405-9414 | |
| (843) 250-6878 | |
| Not Available |
| Full Name | Mr John Chapman Whitlock Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 2610 E 7800 S, South Weber, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699362707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9443035-3102 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 134656 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Carolina Pines Regional Medical Center | Hartsville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kershaw Anesthesia Llc | 2567764384 | 18 |
| Mcleod Physician Associates Ii | 8224031307 | 541 |
| Entity Name | Mcleod Regional Medical Center of the Pee Dee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
| Entity Name | Mcleod Physician Associates II |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Kershaw Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073986048 PECOS PAC ID: 2567764384 Enrollment ID: O20160111000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Chapman Whitlock Ii, CRNA 2610 E 7800 S, South Weber, UT 84405-9414 Ph: (843) 250-6878 | Mr John Chapman Whitlock Ii, CRNA 2610 E 7800 S, South Weber, UT 84405-9414 Ph: (843) 250-6878 |